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Diagnostic algorithm for a child or adolescent with suspected pulmonary hypertension. CHD, congenital heart disease; CPET,
Diagnostic algorithm ... hypertension; CXR ... , chest X-ray; HPAH ... liver function test ... #Diagnosis #Peds
Flail Chest Breathing on Physical Exam
74 year-old male, fallen over in the garden. Four rib fractures.
Flail Chest Breathing ... shows a flail chest ... fractures missed by CXR ... , so use CT to identify ... rob_cosentini #Flail #Chest
Flail Chest Breathing on Physical Exam
74 year-old male, fallen over in the garden. Four rib fractures.
Flail Chest Breathing ... shows a flail chest ... fractures missed by CXR ... , so use CT to identify ... rob_cosentini #Flail #Chest
Dyspnea - Differential Diagnosis Framework

Cardiovascular Causes of Dyspnea:
 • Myocardium:
	- Heart failure
	- CAD/ACS
	- Valvulopathy
 • Electrical:
	-
- Differential Diagnosis ... • Parenchyma: ILD ... of Dyspnea: • Chest ... Obesity - Flail chest ... #causes #pulmonary
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
CT demonstrates ... lesions than the chest ... can suggest the diagnosis ... The chest film shows ... Clinical #Radiology #CXR
Here are the most common examples of these four patterns on a chest x-ray (click image
patterns on a chest ... mass - Solitary Pulmonary ... Nodule - Multiple Masses ... Atelectasis #Diagnosis ... Clinical #Radiology #CXR
Venn Diagram - Does this patient have pneumonia?
Diagnosis is generally based on three lines of evidence:
Diagnosis is generally ... evidence of a chest ... infiltrate (e.g., CXR ... , CT, ultrasound ... production, pleuritic chest
Lung infarction
In pulmonar embolism it is not common to see consolidation.
The consolidation is a result of
chest film, which ... density on the chest ... On the CT we can ... Clinical #Radiology #CXR ... #CTChest #LungInfarct
Bronchiectasis - Summary

What?
• Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
Loss of weight • Chest ... Most Common Causes ... : • Cystic fibrosis ... high-resolution chest ... CT) • Broncho-arterial
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... life-threatening causes ... Pneumothorax • Pulmonary ... ultrasound • CXR ... MatthewHoMD #Chest